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Home My WebLink About991630.tiff AIilik/IIIill > F[CAIT eN8 07 y 9 DA 1 (MM/DDAM .. }� �} 3 ; 06/30/99 PRODUCER % �LGl�l i THIS CERTIFICATE IS ISSUED AS A;MATTER OF INFORMATION J&H Marsh &McLennan of PA, Inc. C0MMISSIr !'.E ; ONILY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE 6 PPG Place,Suite 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pittsburgh, PA 15222-5499 a ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. '. (412)552-5218 JUL Si 8: 38COMPANIES AFFORDING COVERAGE Attn: Bobby Kay Williams COMPANY 04802-MBC-1 99-00 BSS 1 R`!"+L \/;_)T A Liberty Mutual Insurance Co. 1 I> L-L./ INSURED • - COMPANY Baker Support Services,Inc. B Reliance Insurance Co. Attn:P.ete'.Baker 4801Spring Valley Road,Suite 125B COMPANY Dallas,TX 75244 C N/A COMPANY D :.:.......�..._:...:...:.......o>. . . : w:. a:%..,....;:..:.>:::...:..... .. ::.. ..,.....::�..,....,a,a.,�>...:: ;.r.:.::......o:.::::.:...r.o:xi:.......>..:,';.:%;a.< 3''°s'?:`::f .:) oo _ \C:.`�. ..:.9m...,.x%... ..E.u...<X,%.:;h%>.n.::ea,.:.>;'..<:;:iirFo' ;,Si5::E°.�£.:xo..a.'..:..%'.::....,..:.a:.k.?..%:e;+:�`"' :%�a.%.R":t.S.°fao<..,< s>: �n'4C;.::.:o...0:n>:�� ,..`emu 3<..;) :c,.<O'^':;%:>:...;. 1f£:S.: :....'D�.a)G .n�I%: 9:.'w.... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'.THE POLICY'PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDRION OF ANY CONTRACTOR OTHER'DOCUMENT WITHI.R2ESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ,THE4NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH TrOLICIES._LIMITS SBIOWN.TAAY HAVE BEEN REDUCED:BY PAID CLAIMS. TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMITS LTR DATE(MM/DDNY) DATE(MM/DOM1 GENERAL UABIUTY GENERAL AGGREGATE $ 2,000':,000 A X COMMERCIAL GENERAL UABIUTY RG2681004100119 6/30/99 6/30/00 PRODUCTS-COMP/OP AGG S 1,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV'INJURY $ 1,000,000 OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $ 1,000;000 FIRE DAMAGE(Any oneire) i $ 1,000,000 MED EXP(Any one person) $ 5;000 AUTOMOBILE UABIUTY COMBINED SINGLE UMIT $ 1,000;000 B X ANY AUTO QA8492952-02 6/30/99 6/30/00 ALL OWNED AUTOS QA5492979-02(7X) 6/30/99 6/30/00 BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS - BODILY INJURY $ (Per accWent) X NON-OWNED AUTOS ‘ ' PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS UABIUTY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ -WORKERSCOMPENSAisoN-AND__—_ __. _ - --_ - _ - ____ _ _—— - . -X STATUTORY LMITB--- w---r�.. -,--c: -- -- - A EMPLOYERS'LIABIUTY WA168D004100069 6/30/99 6/30/00 EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ X INCL WC2681004 100089 DISEASE-POUCY UMIT $ 1,000,000 PARTNERS/EXECUTNE OISEASE-EACH EMPLOYEE $ 1,000,000 _ OFFICERS ARE: IXCL (AK,ID,W9 OTHER • DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS (UMITS MAY BE SUBJECT TO RETENTIONS) RE: Vehicle Fleet Management & Maintenance Services; Weld County; 1399 Seventeenth Street, Greeley, CO 80632; during the period 01 Jan. 1999 through 31 Dec. 2001. It is agreed that Weld County Board of County Commissioners is included as an Additional Insured with respects to General liability and Automobile Liability, but solely in regards to work being performed by or on behalf of the Named Insured in connection with the project described herein. a1y� y� �y ��,� .... ..... ..... ..:.::...... :..:::..y..y.��{.:.:.:.:.s:..t..::.:. .:.....:.:e;;: .:,;;;;::<.,.;::%>:.;:>:::' is:;«%:.'uyS::&:>%:.2;;::R:!::: e�: : i;:J >i$ ";;+..:' ;!:rHi �h ATIO..V airOla\ti\\ ..2166r �...:. 6 '�`...:. V..:. - M'.Fk.001.,Q1fr:.F.RR .> ': .: ,. S..M' C £':.:..3' S.w4..::. kn£,..::: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Board of County Commissioners of Weld County 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 915 Tenth Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80632 OF ZE KIND UPON THE COMPANY AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 7 lT rl�/i (�L2UL�R 991630 1 20e- t ACORD CERTIFICATE OF LIABILITY INSU RANC� DATE(MM DDm 06/22/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4100 E. Mississippi Ave, #900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80246 COMPANIESAFFORDINGCOVERAGE Craig A. Merten, CPCU ARM COMPANY A St. Paul Fire Phone No. 303-756-6700 Fax No. 303-756-7700 6 Marine INSURED COMPANY 8 CIGNA Insurance Company COMPANY Coulson Excavating Co. , Inc. C 3609 North County Road #13 COMPANY Loveland CO 80538 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE-POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR.CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $2000000 A X COMMERCIAL GENERAL LIABILITY 1(1(08300867 03/31/99 03/31/00 PRODUCTS-COMP/OP AGG $2000000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $ 300000 MED EXP(Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO 1(1(08300867 03/31/99 03/31/00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per acdtlent) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........................................ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 4000000 A X UMBRELLA FORM 1(1(08300867 03/31/99 03/31/00 AGGREGATE $ 40'00000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X WC STATU- I OTH- TCRYLIMITB ER "' EMPLOYERS LIABILITY EL EACH ACCIDENT $ 500000 B THE PROPRIETOR/ X INCL C42887973 07/01/99 07/01/00 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS ALL LOCATIONS. WELD COUNTY IS AN ADDITIONAL INSURED AS RESPECTS G LIABILITY FOR ANY PROJECT COULSON EXCAVATING CO. , INC. MIGHT PERFORM FOR THEM. CERTIFICATE HOLDER CANCELLATION WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WELD COUNTY ENGINEER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10TH STREET P.O. BOX 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. GREELEY CO 80632 AUTHORIZED REPRESENTATIVE a � igy . Craig A. Merten, CPCU ARM 114 ACORD 25-S(1/95) .. ACORD CORPORATION,1988 exyrviAnf Q2"'I°?su C7-/a-9q ..CERTIFICATE OF INSURANCE CERTIFICATE NUMBER: J&H�MIARSH#Il6d..ENNAN 3NC :. 10000736 MERMnimuimMiggHgNiiMiffiNg PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR4cAT(7OQNwK-rw�-!LM(r CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER'MANiHOSE-PROVWED IN J&H MARSH&MCLENNAN, INC. THE POLICY. THIS CERTIFICATE DOES NOT AMEND � O\OAIASTBR :THE .O 100 N.TRYON ST., SUITE 3200 COVERAGE AFFORDED BY THE POLICIES LISTED HERE CHARLOTTE, NORTH CAROLINA 28202 E¢9 II3 - A II: 00 CANON-RESIDENT#0B22889 COMPANIES AFFORDING O E COMPANY } V l. ._ LETTER A Twin City Fire Insuranc p nny L.D INSURED COMPANY Duke Energy Corporation Incl. LETTER B Hartford Acc& Ind Co/Hartford Insurance Co of MW Duke Energy Field Services, Inc. P.O. Box 1244 COMPANY LETTER C N/A Charlotte, NC 28201-1244 COMPANY D Hartford Fire Insurance Company LETTER GOY€RAGES.. ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERMS ORCONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY D'BE ISSUE OR MAY PERTAIN. THE INSURANCE D AFF0RDE BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO • POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MILVDD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GENERAL AGGREGATE $ 3,000,000 X COMMERCIALGENERIALUABILITY 37 CSE D52087 07/01/99 07/01/00 PRODUCTSCOMP/OPAGG $ 3,000,000 CLAIMS MADE n OCCUR. PERSONAL&ADV INJURY $ 3,000,000 OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 3,000,000 FIRE DAMAGE(Any one Fire) $ 50,000 MED.EXPENSE(Any one person) $ 10,000 AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ 1,000,000 B ANY AUTO 37CSED52068E(NO) 07/01/99 07/01/00 BODILY INJURY(Per person) $ ALL OWNED AUTOS B SCHEDULED AUTOS 37CSED52070E(TX) 07/01/99 07/01/00 BODILY INJURY(Per accident $ X HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ B X 37MCPD52071E(MA) 07/01/99 07/01/00 GARAGE LIABILITY AUTO ONLY-EA.ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY :'' '""""�""' ............................... EACH ACCIDENT $ AGGREGATE $ — EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $OTHER THAN UMBRELLA FORM D WORKER'S COMPENSATION AND 37 WND52066E 07/01/99 07/01/00 STATUTORY LIMITS ERNMENEMM .....::.;,:$ ................. . EMPLOYERS LIABIUTY EACH ACCIDENT 1,000,000 ' DISEASE-POLICY LIMIT $ 1,000,000 DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS INSURED: DUKE ENERGY FIELD SERVICES, INC., DENVER, CO CERTIFICATE HOLDER CANCELLATION WESTWOOD ENERGY, INC. SHOULD ANY OF THE POUCIES LISTED HEREIN BE CANCELLED.BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ATTN:CAROL LINNEMANN N EMAN N NOTICE TO THECERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE P.O. BOX 3859 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON OOOTFFFHEINSURERAFFORDING ABILENE,TX 79604 COVERAGE,ITS,AOENTSOR REPRESENTATIVES,OR THE I SUERRTIFICATE. J&H MARSH LMeLENNAN,INCORPORATED, BY: M. Steven Crew fi MMI 1(8/95) VALID AS OF: 06/24/99 6?-26V4-a&ak- At/L:7)1'39 CERTIFICATE NUMBER: J81i'MMSH&Md.ENNAN N!C ..:CERTIFICATE OF INSUR NNE 10000736 PRODUCER THIS CERTIFICATE IS ISSUED AS AC�1 FIN{+�RM1tION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIcCIATEE „I.DERR O, ER THAI{THOSE PROVIDED IN J&H MARSH&MCLENNAN, INC. THE POLICY. THIS CERTIFICATFYDOENOTAMEND,„JEXTE71 DOOR ALTER THE 100 N.TRYON ST.,SUITE 3200 COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN:1'"I CHARLOTTE, NORTH CAROLINA 28202 f999 JUL -6 6 ) 704/343-4700 COMPANIES AFFORDINdI O GE CA NON-RESIDENT#O622889 I1, • COMPANY r-( J-`" 1- LETTER A Twin City Fire fnsuranee--company INSURED COMPANY Duke Energy Corporation Incl. LETTER B Hartford Acc&Ind Co/Hartford Insurance Co of MW Duke Energy Field Services, Inc. ' P.O.,Box.1244 - COMPANY Charlotte, NC 28201-1244 LETTER C N/A COMPANY A D Hartford Fire Insurance Company LETTEGO..�fERAGEZ'''"s .;: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANYREGUIREMENT,TERMS ORIPONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE.CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCEAFFORDED,BV'THEPOLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO - I POLICY EFFECTIVE POLICVPATIO LTR TYPE OF INSURANCE POLICY NUMBER --DATE(MIA//ODWY)` DATE'(MM EX/DIRD/YY)''N _. LIMITS A- GENERAL LIABILITY GENERAL AGGREGATE $ 3,000,000 X COMMERCIALGENERIAL LIABILITY 37 CSE D52087 07/01/99 07/01/00 PRODUCTSCOMP/OPAGG $ 3,000,000 nCLAIMS MADE X OCCUR. PERSONAL&ADV INJURY $ 3,000,000 'OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 3,000,000 FIRE DAMAGE(Any one lire) $ 50,000 MED.EXPENSE(Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B ANY AUTO 37CSED52068E(NO) 07/01/99 07/01/00 BODILY INJURY(Per person) $ X ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY P B 37CSED52070E(TX) '07/01199 07/01/00 (Per accident)' $ X HIRED AUTOS PROPERTY DAMAGE $ B X NON-OWNED AUTOS 37MCP052071E(MA) 07/01/99 07/01/00 GARAGE LIABILITY AUTO ONLY-EA.ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY .:..:..:..:...::..::.::..:..::. EACH ACCIDENT $ AGGREGATE $ — — EXCESS LIABILITY • _ . EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM • - WORKER'S COMPENSATION AND 37 WND52066E 07/01/99 07/01/00 STATUTORY LIMITS [[ D :'%iii:;< '<':::�'ia 'J %£ ` "1 EMPLOYERS LIABILITY p>:!s EACH ACCIDENT $ 1,000,000 DISEASE-POLICY LIMIT $ 1,000,000 DISEASE-EACH EMPLOYEE $ 1,000,000 - OTHER DESCRIPTION,OF OPERATIONS IONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL OUT OFD(EXCEPT AS RESPECTS ALL COVERAGE AFFORDED BY THE WC POLICY)AS REQUIRED BY WRIT TEN CONTRACT BUT?ONLY FOR LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. INSURED: DUKE ENERGY FIELD SERVICES, INC., DENVER, CO • CERTIFICATE HOLDER CANCELLATION WELD COUNTY, COLORADO C/O THE BOARD OF SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE COUNTY COMMISSIONERS OF THE COUNTY OF THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE WELD SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING 915 TENTH STREET COVERAGE,ITSAGENTSOR REPRESENTATIVES,OR THE IAOF THIS CERTIFICATE. GREELY, CO 80631 J&H MARSH&MCLENNAN,INCORPORATED/1g • BY: M. Steven Crew • MM11(8/95) VALID AS OF: 06/24/99 • II .e ... c mN v Q ""f PnP 'III Iii ACORa ,arE N I i ,II,II� III ATIIE .II' F LIQB'I}LI�TIt 'i��''INISII�;,ti:I ,ANCL�FA 5.3.. ..; . DATE 28 99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Co. of Northern Co. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2900 South College Avenue-#2A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Jeff Broyles COMPANY Phone No. 970-229-9304 Fax No. 970-229-1398 A Bituminous Insurance INSURED COMPANY B Business Insurance Company COMPANY Farner Enterprises, Inc. C 12280 Sable Blvd. COMPANY Brighton CO 80601 D I ERAYG s ' .... . . : ' ,K� �il�;i;� �G`..... • 1.111 IRINA HI. , ue H€ H1H IN THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR D.ATE(MM/DD/YV) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 A X COMMERCIAL GENERAL LIABILITY CLP2315033 04/25/99 04/25/00 PRODUCTS-COMP/OP AGG $2,00'0,0'00 6?HI I CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(My one fire) $10'0,0'80 MED EXP(Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO CAP3057797B 04/25/99 04/25/00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ {�R ANY AUTO OTHER THAN AUTO ONLY: Ui .15,11I EACH ACCIDENT $ AGGREGATE $ - EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ - WORKERS COMPENSATION AND X W./CAI OER ._ FI Oi'C. .. .. . EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 1000000 B THE PROPRIETOR/ INCL W997160505 07/01/99 07/01/00 EL DISEASE-POLICY LIMIT $ 1000000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 1000000 OTHER A LEASED/RENTED CLP2315033 04/25/99 04/25/00 $250,000 LIMIT EQUIPMENT $1,000 DEDUCT • DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS n EkR*iTITFICTATEgHOL®E P tti 49 Iii" . 3 � I .ANigtiV<rio` lam ��„at 1:9,1,.a ��A��mmnm�& WELD—02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. WELD COUNTY ENGINEER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATTN ALAN MILLER P.O. BOX 758 OF ANY KIND UPON THE COMPANY.IT -.OR REPRESENTATIVES Tykatts GREELEY CO 80632 AUTHORIZED REPRESENTATIVE Jeff Broyles .© �a� s'salai��'�1�i7,'�»�1[ ,&I .... � tl � (�I� ',I�,;'. © algOOD .a ehtK p." � I NANO t5`ry #"� C1 ICAT : jR( �} + I CERTIFICATE NUMBER 'v z:i 3*a .'..'.: 19%l,ti+._.i::r: $Y F�'l:.:E'.l::iYM .�.,✓:.::: F' ':E:!:: F IE.`'E.::..i R. 1w .:..: :'i i';: D_..•--:' : '.;: ..:. 001001 00627 ,;; PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS J&H Marsh & McLennan OK, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN • 1700 Williams Center Tower II THE POLICY. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES.,USTED HEREIN. Two West Second-Street ' „ Tulsa OK-'74103 COMPANIES AFFORDIING COVERAGE - COMPANY Laurie Zampino (918) 586-7983 A LIBERTY MUTUAL INSURANCE CO - INSURED' COMPANY Flint Energy Construction CO. - B UNITED PACIFIC INS CO - 2440 South Yukon Avenue Tulsa, OK 74107 COMPANY C COMPANY i.00D WRAGES :.> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE.POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTRDATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY KE1871071834039 6/01/99 6/01/00 GENERAL AGGREGATE $ 2,000 000 x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG 3 2,000.000 CLAIMS MADE X OCCUR PERSONAL&AOV INJURY 8 ........ 2,000,000 OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one firel $ 500,000 MED EXP (Any one person) 3 10,000 A AUTOMOBILE LIABILITY AS1871071834029 6/01/99 6/01/00 X ANY AUTO COMBINED SINGLE LIMIT 2.000,008_ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS IPer peraonl HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 8 ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT '_ ::......_......::.:........_.... AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE 3 OTHER THAN UMBRELLA FORM $ B WORKER'S COMPENSATION AND NWA015623700 6/01/99 6/01/00 X W r sriTu- 0TH- EMPLOYERS'LIABILITY --TOPY-CIDENT ER .,,,,,,.._...,`:%:< 00,0::>:. EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 1,000.000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS If required by written contract, the certificate holder is an "additional insured" as respect to the insureds operation and on their behalf, except the "additional insured" does not apply to Workers Compensation policies. A Waiver of Subrogation also applies in favor of the certificate holder where required by written contract. CERTIFIi AID FFCiLfJ ' '; GANc. . 5. SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL WELD COUNTY DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT ALLEN MILLER FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O.LEY 758 GREELEY. CO 80632 OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. /a�'y�— J&H MARSH&MCLENNAN INCORPORAT /I^,S r s JHMMf(W Vw4#D ASOR, ' 64U&7 9;: .a4'aa . Client# : 11249 NORWEI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YY) 04/21/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION L� n Flood & Peterson Ins . I,Ij- J. VVU.'T. I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 578 CiVl lh'$I I,^C,Ir'a'+. ;,J ALLTERRTHETHIS COVERAGE AFFORDED BY THE POLICIES BELOW EXTEND . 4687 W. 18th Street CO 1 22 Greeley, CO 80632 1499 liti 31 P�1 tt 2: INSURERS AFFORDING COVERAGE INSURED INsuRERA:TITAN INSURANCE COMPANY North Weld County Wat s.tet) INSURIERB:Colorado Compensation Authority 33247 Highway 85 riLUti'V rt-L--J INSURER C: INSURER D: Lucerne, CO 80646 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTRDATE(MM/DD/YYI DATE(MM/D.D/YYt LIMITS A GENERAL LIABILITY 99HP03857 02/25/99 02/25/00 EACH OCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire' $1, 000 , 000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ PERSONALBADV INJURY $1, 000 , 000 GENERAL AGGREGATE $2 , 000, 000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2 , 000, 000 POLICY JECT LOC A AUTOMOBILE LIABILITY 99HP03857 02/25/99 02/25/00 COMBINED SINGLE LIMIT X ANY AUTO $1, 000 (Ea accident) $1, 000, 000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EXCESS EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ _ $ B WORKERS COMPENSATION AND 34315 01/01/99 01/01/00 TOC STATUS D EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100, 000 E.L.DISEASE-EAEMPLOYEE $100, 000 E.L.DISEASE-POLICY LIMIT $500, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is named as Additional inured CERTIFICATE HOLDER Y AODMONALINSURED;INSURER.LETTER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION Public Work Dept DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYSWRITTEN P.O. Box 758 NOTICE TO THE CERTIFICATE HOLDERNAMED TOTHELEFT,BUTFAILURE TO DO SO SHALL Greeley, CO 80632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I Rood 4 f' tte $on InSi Cnej , raa- ACORD 25-S(7/97)1 of 2 #S127635/M127632 FPM O ACORD CORPORATION 1'988 d UEa - 1/a-9? Hello